DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	First Financial Insurance Indiana, Inc.	DOIID	624638	NAIC NPN	3318754

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/14/2010	3/31/2012
Inactive	Non Resident	Agent	Property	7/14/2010	3/31/2012
Inactive	Non Resident	Agent	Life	7/14/2010	3/31/2012
Inactive	Non Resident	Agent	Casualty	7/14/2010	3/31/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/9/2006	1/1/2007
Inactive	General American Life Insurance Company	300280	Agent - Health	2/16/2007	4/1/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	2/16/2007	4/1/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	4/1/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	3/27/2007	4/1/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/27/2007	4/1/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	2/16/2007	4/1/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/16/2007	4/1/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bohman, Jeffrey L	627732	Agent - Casualty	7/14/2010	3/31/2012
Inactive	Bohman, Jeffrey L	627732	Agent - Health	7/14/2010	3/31/2012
Inactive	Bohman, Jeffrey L	627732	Agent - Life	7/14/2010	3/31/2012
Inactive	Bohman, Jeffrey L	627732	Agent - Property	7/14/2010	3/31/2012
Inactive	Colvin, Todd Burton	623840	Agent - Health	2/23/2006	1/31/2009
Inactive	Colvin, Todd Burton	623840	Agent - Life	2/23/2006	1/31/2009